. Tumours, innocent and malignant; their clinical characters and appropriate treatment. e 3years later Unpublished. Bland-Sutton 23. Lower end of Am putation No recurrence 4 Unpublished. (See tibia through middleof the leg years later Fig. 29.) Jones (Robert) 20. Patella Amputation No recurrence 3years later Trans. Path. Soc,xlvi. 143. (SeeFig. 33.) It is fair to assume that the remarkable case in whichMott in 1828 excised the sternal two-thirds of the claviclefor what he called, in the terms of his day, an osteo-sarcoma, in a lad 18 years of age, was in all probabilitya myeloma. The boy survi
. Tumours, innocent and malignant; their clinical characters and appropriate treatment. e 3years later Unpublished. Bland-Sutton 23. Lower end of Am putation No recurrence 4 Unpublished. (See tibia through middleof the leg years later Fig. 29.) Jones (Robert) 20. Patella Amputation No recurrence 3years later Trans. Path. Soc,xlvi. 143. (SeeFig. 33.) It is fair to assume that the remarkable case in whichMott in 1828 excised the sternal two-thirds of the claviclefor what he called, in the terms of his day, an osteo-sarcoma, in a lad 18 years of age, was in all probabilitya myeloma. The boy survived the operation fifty years(Porcher). One of the difficulties connected with the treatment ofa myeloma is the doubtful character of the diagnosis insome instances. A myeloma at the lower end of the MYELOMAS 51 radius is rarely missed, but in other long bones a tumourof this kind is simulated by tuberculous disease, thecommon species of sarcomas, gumma, and (rarely) echino-coccus disease. In well-marked examples the thinned andexpanded bone furnishes the classic egg-shell or parch-. rig. 33.—Myeloma of the patella ; from a giil of 20 years.{Museum, Roijal College of Surgeons) ment-like crackling, which is a clinical feature of great value,and was especially marked in the myeloma at the acromialend of the clavicle (Fig. 32). Butlin, Henry T., and Colby, F. E. A., On Sarcoma of the Bones of the Thighand Leg.—St. Barts Hos2). Bejrts., 1895, xxxi. 31. Hinds, Case of Myeloid Sarcoma of the Femur treated by Scraping.— Joicrn., 1898, i. 555. Porcher, F. Peyre, Post-mortem Dissection of the Kegion of the Clavicle,this bone having been removed for Osteo-Sarcoma by Dr. ValentineMott, of New York, in 1828, when the subject was in his 19th year,and 54 years before his death.—Avier. Journ. Med. Set., 1883, CHAPTER VSARCOMAS; THEIR HISTOLOGIC CHARACTERS The term sarcoma is applied to any connective-tissue tumourwhich exhibits malignant characters. As a matter of
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